Predictors of patient treatment adherence and moderators of response for a randomized clinical trial comparing remote cognitive behavioral therapy approaches for high-impact chronic musculoskeletal pain
Randomized clinical trial assesses treatment adherence and intervention effectiveness in chronic pain, suggesting flexibility in care approaches.
Key Points
This research aims to identify factors influencing patient adherence and intervention effectiveness in remote cognitive behavioral therapy for chronic pain.
Conducted a large-scale 3-arm pragmatic trial comparing two remote CBT-CP approaches and usual medical care.
Evaluated the impact of patient session adherence and various moderators on pain severity outcomes.
Analyzed demographic, social, and clinical factors as potential moderators of treatment effectiveness.
The health coach program was more effective than the online program for men and individuals with depression.
Session adherence was significantly higher in the health coach program (70.4%) compared to the online program (47.8%).
Both interventions showed similar pain severity outcomes among completers, indicating effectiveness with proper adherence.